New Lakers Signing Form

Email address *

Name *

Home City *

Home State *

Home Country *

Instagram Handle (Optional)

Twitter Handle (Optional)

Parent Names: *

Sibling Names: *

High School Name *

High School City & State *

High School Country *

High School Graduation Year *

High School Coach Name

Previous College Attended (if any)

Roosevelt Academic Major(s) *

Women's Sport

Please select the sport that you are committing to at Roosevelt

Basketball Bowling Cross Country Hockey Soccer Softball Tennis Track Volleyball

Coed Sport

Please choose the sport/program that you are committing to at Roosevelt

Cheer Dance Esports Performing Arts

Primary Position *

Secondary Position

Height *

Weight (Male only)

AAU/Club/Travel Team Information

Athletic Awards/Honors/Stats

Other Awards/Honors

Why I chose Roosevelt University? *

Please send a high quality action picture or head shot to tczop@roosevelt.edu to be used with your signing release.

* required field